PHYLLIS D HARDING Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021760

License Status

EXPIRED

Business

First Name

PHYLLIS D

Last Name

HARDING

Business Name

PHYLLIS D HARDING

Original Issue Date

10/28/1987

Effective Date

10/28/1987

Expiration Date

08/01/1990

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006